Download Hospital/District Capabilities

Global Health Threats
A Hospital and District
Perspective/Preparedness
Vickie VanDeventer MPH, BSN, RN, CIC
Infection Control Practitioner
Review
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How Diseases are Spread - Chain of Transmission
Hospital Preparedness
District Hospital Preparedness
Infection Prevention
It’s all about the chain…………
Chain of Transmission
CAUSATIVE
AGENT
PORTAL
OF
ENRY
PORTAL
OF
EXIT
MODE OF
TRANSMISSION
Chain of Infection
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Causative Agent- any bacteria
Reservoir- where bacteria can survive
Portal of Exit- a way out of the carrier
Mode of Transmission- method of travel
Portal of Entry- a way agent enters host
Susceptible Host- anyone
2003 Emerging Infectious Diseases
March 2003
May 2003
• Mad Cow Disease in Canada
(Bovine spongiform encephalopathy)
June 2003
Monkeypox
Indiana- 7 cases
Total- 37 cases
in six states.
July 2003 – West Nile Virus
Hospital Preparedness
Hospital Grants (2002)
• Center for Disease Control and Prevention (CDC)
• Health Resource & Services Administration (HRSA)
Hospital Grant
• Allowed hospitals to purchase items to improve their
emergency preparedness.
• Example of items purchased;
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Personal Protective Equipment
800 MHz Radios
Evacuation Equipment
Ventilators
Conversion of Rooms to Negative Airflow
Powered Air Purifying Respirator (PAPR)
Staff Education
Decontamination Training and Equipment
Bioterrorism Preparedness Districts
La
La Por
Por te
te
Lake
Lake
Elkhart
Elkhart
St
St .. Joseph
Joseph
1
Marshall
Marshall
St euben
euben
St
Noble
Noble
De Kalb
Kalb
De
Kosciusko
Kosciusko
2
St
Starke
arke
Whitley
Whitley
Jasper
Jasper
Pulaski
Pulaski
Newton
Newton
District
Involvement
La Gr
Gr ange
ange
La
Port
Porter
er
Allen
A
llen
3
Fulton
Fulton
Miam
Miamii
Wabash
Wabash
Huntington
Huntington
Wells
Wells
CCass
ass
A
Adams
dams
White
White
Benton
Benton
Carr oll
oll
Carr
Grant
Grant
Tippecanoe
Tippecanoe
War ren
ren
War
Howard
Howard
4
Clinton
Clinton
Mont gomer
gomer y
y
Mont
Tipton
Tipton
Madison
Madison
Delawar
e
Delaw
ar e
6
Hamilt
Hamilt on
on
Boone
Boone
Randolph
Randolph
Henry
Henry
Fountain
Fountain
Wayne
Wayne
Parke
Par ke
Ver -Ver
milmillion
lion
Hendricks
Hendricks
Putnam
Putnam
Marion
Marion
Hancock
Hancock
5
Rush
Rush
Clay
Clay
Morgan
Morgan
7
Johnson
Johnson
Fr anklin
anklin
Fr
Owen
Ow
en
Decatur
Decatur
Monr oe
oe
Monr
Brown
Brown
Bart
Bartholom
holomew
ew
Sullivan
Sullivan
Ripley
Ripley
Greene
Greene
Jennings
Jennings
Jackson
Jackson
Lawrence
Lawrence
Knox
Knox
Union
Union
Fayette
Fayette
Shelby
Shelby
Vigo
Vigo
Jay
Jay
Blackford
Dav iess
iess
Dav
8
Martin
Martin
9
Jefferson
Jefferson
Washington
Washington
Dearborn
Dearborn
Ohi o
o
Ohi
Switzerland
Switzerland
Scott
Scott
Orange
Orange
Clark
Clark
Pike
Pike
Gibson
Gibson
Posey
Posey
VanderVanderburgh
burgh
10
War rick
War rick
Dubois
Dubois
Crawford
Crawford
Harr
Harrison
ison
Floyd
Floy
d
Per ry
Perry
Spencer
Spencer
1.14.2004
Public Health District 8
• Monroe, Orange, Lawrence, Bartholomew,
Washington, Brown, and Jackson
• 8 hospitals
District Involvement
• Participate in District Hospital Planning
• District Hospitals meet monthly
• Develop district plans
• Participate in District Planning
• District meets quarterly
• Includes several disciplines- hospital, health department,
emergency management, fire, police, Indiana state department
of health, and red cross.
Hospital/District Capabilities
• Assessed Individual Hospital Capabilities
• Assessed District Capabilities
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Developed District Hazardous Vulnerability Analysis
Developed District Emergency Operations Plan
Developed CHEMPACK Policy
Developed District Fatality Management Plan
Developed District Evacuation Plan
Developed District Gap Analysis
District Communication Plan – Test radios monthly
District 8
• District Tabletop exercise completed in 2005, 2006,
and 2007.
• District Full Scale exercise in 2008.
Other State Initiatives
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List serve for hospital contacts.
Epidemiologist for each public health district.
Mass prophylaxis plan for each county/hospital.
Syndromic Surveillance.
EWA Phoenix Bed Tracking System.
Indiana Health Alert Network.
• Health departments
• Hospitals
Prevention is key!
Infection Prevention
Infection Prevention
• Frequent Hand washing is important to prevent the spread of
infection.
• Cover your nose and mouth with a tissue when you cough or
sneeze.
• Try to avoid close contact with sick people.
Summary
• It will take all of us working together to care for our
community during any type of event.
• We can all make a difference by following these simple rules;
• Get back to the basics
• Wash your hands
• Cover your cough
• Get immunized!
ANY
QUESTIONS ?